Provider Demographics
NPI:1538908801
Name:DIGNITY ASSISTED LIVING LLC
Entity type:Organization
Organization Name:DIGNITY ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NORAET
Authorized Official - Middle Name:
Authorized Official - Last Name:NESHAN
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:818-445-4159
Mailing Address - Street 1:11000 NOBLE AVE
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-1636
Mailing Address - Country:US
Mailing Address - Phone:818-445-4159
Mailing Address - Fax:
Practice Address - Street 1:11000 NOBLE AVE
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-1636
Practice Address - Country:US
Practice Address - Phone:818-445-4159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility